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IPACHTE# 1(0-5 — qCY& Harnett County Department of Public Health 29304 Improvement Permit A building permit cannot be issued with only an Improvement Permit —\ 1_ PROPERTY LOCATION: STS 13tWc � QA CS(L S -40Z) ISSUED TO- !!;CM WiI�iAS i c�fTt�cVC�r[�A SUBDIVISION LOT # NEW Er REPAIR ❑ EXPANSION ❑ Type of Structure: '3 R Q__ 5 C— Proposed Wastewater System Type: Projected Daily Flow (.,6 GPD Number of bedrooms: 3 Number of Occupants: ax Basement []Yes Site Improvements required prior to Construction Authorization Issuance: Pump Required: ❑Yes ❑ No tti 11ay be required based on final location and elevations of facilities / Type of Water Supply: ❑ Community ublic 1-1WellDistance from well feet Permit valid for. 9-Frve years Permit conditions: ❑ No expiration Authorized State Ag ( , / ' V7-7A#9x V" bate: /— ZC/ —17 SEE ATTACHED SITE SKETCH The issuance of this permit by th th Department in no way guarantees the issuance of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This site is subject to revocation if Wite plan, plat or the intended use changes. The Improvement Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of the laws and Rules for Sewage Treatment and Disposal and to conditions of this permit.. Construction Authorization Required for Building Permit The construction and installation requirements of Rules .1958, .1952, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall be mel Systems shall be installed in accordance with the attached system layout 1 ISSUED TO: `Jo.cY\ Q�IV111� Cc n cU( i�1 PROPERTY LOCATION: 615 W',llic,rs5 2 QA (S 14666 SUBDIVISION LOT # J Facility Type: L LLYNew ❑ Expansion ❑ Repair Basement? ❑ Yes No Basement Fixtures? ❑ Yes ❑ No Type of Wastewater System"' %., �.n 5 yg E n (Initial) Wastewater flow: 360 GPD (See note below, if applicable ❑) 'Ze'S% i n (Repair) Installation Requirements/Conditions Number of tre" es F Septic Tank Size / lrsD gallons Exact length of each trench ICxJ feet Pump Tank Size gallons Trenches shall be installed on contour at a Maximum Trench Depth of:f'_ inches (Trench bottoms shall be level to +/-1/4" in all directions) Pump Requirements: (t. TDM vs. GPM Conditions: Trench Spacing: CY—ZO Feet on Center Soil Cover. inches (Maximum soil cover shall not exceed 36" above the trench bottom) Aggregate Depth: WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA. NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA. to inches below pipe Z inches above pipe 1 Z inches total **If applicable: / understand the system type speciled is dflerw from the type speciled on the application. / accept the fpeaTicationr of this permit Owner/Legal Representative Signature: Date: This Construction Authorization is subject to revocation if the site plan, plat or the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownership of the site. This Construction Authorization is subject to compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH Authorized State Age : 'L Date: /- Zy -/ -7 nstruction Authorization Expiration Date: /- Zq -LZ HTE# (P s - L4 64 Permit # ZCl 3G4/- Harnett County Department of Public Health Site Sketch PROPERTYLO(ATON:SIS 6)j1;ums 2Z S,2 I–T ISSUED T0: swYl W k; nS C6(! lro– `;ASUBDIVISION LOT # Authorized State A etr:� C� �i4x� Date: JJ to ZsI'D r° SpA n vl Z100 v of 2r`D°Cl 1, ITJ I aY "1 :I P2° p0S C 9 SFO to Il;gMs 431 S2 t 30, �. q?� 0-�p�it- hn-G.•P 4 I'Sin 1twen6n 0e{,/N ✓44y � -V Ort Conkvv�,— / 4 1Jo /1c�'< d Fv� lJ 1"IUmb�nS Mvsk Ice, S4.>bed 1n�g1� 2no� Department of Environment, Health and Natural Resources Division of Environmental Health On -Site Wastewater Section SOMITE EVALUATION for ON-SITE WASTEWATER SYSTEM Cunc�..re Scn. w � I K� y Owner: Pv pig Applicant: Address: 515 V:llians a_. , Date Evaluated. C7a�- Proposed Facility: -j62 5,_ Design Location of Site: [ 0<+� Property Recorded; Water Supply. [I Publico Individual ❑Well EvaluationMetbod:❑ Auger goring ❑ Pit ❑ Cut Type of Wastewater. ❑ Sewage ❑ Industrial Process Sheet: Property ID: Lot #: File #: Code: Property Size: /.6V ❑ Spring ❑ Other ❑ Mixed P R O F 1 .1940 SOIL MORPHOLOGY .1941 OTHER PROFILE FACTORS L E # Landscape Position/ Slope % Horiwn Depth (In.) .1941 Soucturd Texture .1941 Consistence Nw—ftalogy .1942 Soil Welnesst Color .1943 Soil .1956 Sapro Class .1944 Resn Horiz Pro51e Class & LTAR Z% Ct"'b 62 5L r� ]lT 54yP �5 io s6 ae s[ Fl s e 3 �.sYR " 30" 36 0•3 2 Z% C7- l Z G R aZ-zy 91( pct_ �I 5 2 5 PS zz 3r eK s� s e 5E 7, �� 30' 3(k 0.3 Q-18 5LL r( tg Z8 gK 5L 1 fl G.3 P5 Zo-3z 5C Ff P 5 75{�il�Zi t 3 2 © 3 Description InitialRepan System Other Factors (.1946): system Site Classification (.1945): Pr&V. ; -a..t� Ste• Myl Available Space(. 1945) 1, Evaluated B: S emT s °„ Others Present: Site LTAR C"30